Medical

A lot is happening when graduating medical residents are looking for employment after completing graduate medical education. They are finishing their residencies, taking the specialty boards, and trying to decide where they will be spending the rest of their lives. Considering a new job offer can be both exciting and stressful. It is natural in such circumstances to focus on what the…

The roll-out of the COVID vaccine, which started in the U.S. recently, brought hope to millions of Americans reeling under the protracted coronavirus pandemic. The phrase “this is the beginning of the end” was used repeatedly by interviewed vaccinated individuals and health care officials as well as in the news media to express a sigh…

Some poignant moments with patients take me by surprise.  I have had hundreds (thousands?) of difficult discussions with patients.  They are all difficult and unique, but sometimes they unexpectedly and without good explanation, catch me off guard. I saw a long term patient with metastatic cancer who survived recent saddle PE despite a delay in…

“The medical profession now understands that social determinants of health are probably the most important driver of a patient’s overall health, and these determinants are largely the result of political decisions. Clearly, we have a professional responsibility to teach our patients the science underlying their health issues. Don’t we also have a professional obligation to…

Despite advances in the science of diabetes, including a huge armory of new drugs, over 34.2 million people still suffer. More than 88 million adults are at risk for diabetes, disproportionately affecting Black and brown communities. Individuals with diabetes, high blood pressure, and heart disease are also the same people at the highest risk of contracting and…

On the first day of COVID my hospital administrator gave to me, A pep talk and some shoddy PPE. On the second day of COVID my hospital administrator gave to me, Two nitrile gloves, And a pep talk and some shoddy PPE. On the third day of COVID my hospital administrator gave to me, Three…

As cases exploded across the country, I watched with horror as I saw people go on with their daily lives as if hundreds of thousands of people were not dying, as if millions were not infected, as if our health care system was not collapsing. I watched our country – a country I once believed…

COVID-19 has forever changed science. There have been many positives. The virus has forced us to question long-held notions in immunology, virology, and critical care, improving our ability to battle disease. There have been brilliant expressions of creativity and ingenuity. The creation of a new vaccine in less than a year is a true wonder…